Ultimate Automotive Locksmiths Service Booking Form
Please complete the below fields and send back ASAP to help speed up our service to you
ACTION 🎬
*
JOB
QUOTE
Customers Name
Business or Customers Name
SUBURB 🌏
*
A. The suburb the vehicle will be located
or
B. If you are attending our shop please type "SHOP"
Job Address
*
Phone
*
KEY TYPE
NON REMOTE ( basic key no remote)
REMOTE key (turn metal blade in lock to start remote to unlock door)
TWIST PROX (plastic FOB key in dash or steering column turn to start press remote to open door)
SLOT KEY (put key slot in dash press to start ,press remote to open door)
PROXIMITY (key in pocket push to start pull handle or press remote to open door)
Car Make
*
Please Choose from the drop down menu
Alfa Romeo
Audi
BMW
Citroen
Chrystler
Daewoo
Daihatsu
Dodge
Fiat
Ford
Great Wall
Hino
Holden
Honda
Hyundai
Hummer
Isuzu
Jaguar
Jeep
Kia
Landrover
Lexus
Mazda
Mercedes
Mini
Mitsubishi
Nissan
Peugeot
Porsche
Proton
Range Rover
Renault
Saab
Skoda
Seat
Ssangyong
Subaru
Suzuki
Toyota
VW
Volvo
Kawasaki
Honda Bike
Suzuki Bike
TRUCK
Other
YEAR MODEL
PRE 1997
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Car Model
Number Plate
*
Date Preferred for Service to be Provided
*
Job Description
*
please tick the box that most suits the problem you are having
Keys Locked in Car
Lost Key (no working keys)
Broken Key
Immobilizer Issue
Spare Key
Key Won't Turn in the Ignition Lock
Key Wont Turn in the Door or Boot Lock
Key Turns but will not start the car
Other
Extra Information if Required
Please include a brief description of the work required
Please fill out below if you require an EXTRA, SPARE or HAVE LOST ALL KEYS
"Remote Keys" (press button on the key to unlock the door)
If you require new REMOTE keys please tick a box
0
1
2
3
4
5
6
"Non Remote Keys" (manual turn in the door lock only)
If you require new" NON REMOTE" keys please tick a box
0
1
2
3
4
5
6
Payment Type
*
Quote Only
Cash
Eftpos
Visa / MasterCard
Account (approved Trade Customers)
Payment notes
please advise if payment is to be arranged by a 3rd party
Pictures if Required
Please attach pictures from your computer or smartphone's gallery that will assist in your request.
Email
Disclaimer
*
I hereby Authorise a Representative of Ultimate Locksmiths to
(1)gain entry and Reproduce keys if Required.
(2)And/or carry out repairs as discussed to the Above vehicle and agree that I am
(a) the registered owner
or
(b) an authorised representative on behalf of the registered owner.
I agree the vehicle has No working keys and is unable to be inspected for any Electronic or Mechanical Faults or defects prior to the keys being replaced.
V.I.N Number (if available)
Found on the cars compliance plate or Rego/Insurance papers ect
17 letters and Numbers
Send me a copy of my responses
Email address
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